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B-2017-0253I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0253 10212 COLBY AVE CUPERTINO, CA 95014-2420 (316 28 036) BILL HAMILTON ROOFING INC CAMPBELL, CA 95008 OWNER'S NAME: YANG SIYING AND TANG HUI DATE ISSUED: 0211 3 /2 0 1 7 OWNER'S PHONE: 650-219-6960 PHONE NO: (408) 379-1303 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-39 Lic. #fi444QQ Contractor BILL HAMILTON ROOFING INC Date 04/3.0/2018 X BLDG _ELECT _PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — MECH X RESIDENTIAL_ COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: REROOF; TEAR OFF; COMP SHINGLES - (27.73 SQ) I hereby affirm under penalty of perjury one of the following two declarations: r. I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. z.I� have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $12000.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 316 28 036 representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cu ertmo Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. .-h Signature Date 2/13/2017 Issued by: AbbyAyende OWNER -BUILDER DECLARATION Date: 02/13/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: -`' contractors to construct the project (Sec.7044, Business it Professions Code). Date: 2/13/2017 I hereby affirm under penalty of perjury one of the following three declarations:ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the s, I certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, Ibecome subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. (,Owner or authorized agent: /e `---�- APPLICANT CERTIFICATION Date: 2/13/2017 1 certify that 1 have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code, Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 2/13/2017 Professional REROOF PERMIT APPLICATION [1, COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ,438) 777-3228 • FAX (438) 777-3333 • 5uiidinet7cuperbno.6rg C1JPEF TFt40 PROJECT ADDRESS/]) J j !S r/PHONE V 1 Jzw APN# POI �J 030 OWNERNAME f� (CoO)2-1 q -&%7o E-MAIL A STREET ADDRESS, 3 pp ®s Gra3 3f CITY, STATE, ZIP FAX CONTACT N &:Q 11(j PHOI � � j��3 `f/ 3 f/3 J Z J E-MAIL ADDRESS` a CrIY, STATE, ZIP% �/ /d FAX ❑ 0ATNER ❑ OWNER -BUILDER ❑ OWNERAGENT CONTRACTOR ❑CONTRACrORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NANIE LICENSE NUMBER &Lm CIO LICENSE TYPE (.3� BUS. LIC. # COMPANY NAIdI36 11 /��ply/ 0® 1t /// JYI M , E-14AIL - FAX 6,19g) 37C, STREET ADDRESS j+g f �fto CITY, STATE, ZIP � `]!CA e(OO PHONE 09 ) 379-1 305 ARCHITECTIENGINEERNAME LICENSENUMBER ,YA BUS. LIC.# COMPANYNAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF E g SFD or Duplex ❑ Multi -Family, STRUCTURE: ❑ Commercial ROOF AREA: 27,73 Sq VALUATION: � a 00 EXISTING ROOF TYPE: ❑ BUILT-UP ROOF ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER (SPECJFY) M10VE /REPLACE 9 YES ❑ NO IF NO, # LAYERS: PLYWOOD ❑ W, ❑ THICKNESS: ❑ 5/8" PLYWD ❑ OSB TYPE: ❑ CDX PITCH: 2 ROOF CLASS: ICC -ES REPORT # PROPOSED ROOF TYPE: ElBUILT-UPROOF ASPHALT SHINGLES ❑ WOOD SHAKES ❑ WOOD SHINGLES ❑ OTHER DESCRIPTION OF WORK: ern`G x � �qR t an !n e 1 1 t ILMf 10f` 460' a By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. 1 have ad the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to hG" ng co ction. I a arze representatives of Cupertino to enter the above -i ntified-p perty for inspection purposes. Signature ofApplicant/Agent: Date: 0 /> 7— a SUPPLEMENTAL INF'ORNIATI NREQUIRED _ if building is associated with a Home Ownees Association, provide letter of approval from 110A. Provide Planning approval to verify if there any restrictions. _ Provide copy of Manufacturer's Installation Specifications. Provide sighed copy of Cupertino's Tear -Off Policy. © "C�USE6NLY © -GVvE' t- COUN 'ER, ❑ EXPRESS „ . "_ilu D v I I AIc t w 0 PiANNWGftANtEVIE.W aTIII Ii: ReroofApp_20?1.doc revised 03.16111 Page 4 of 4 CUPERTINO REROOF TEAR -OFF POLICY COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingQcupertino.org PROJECT ADDRESS/,), f y,� � (' APN# OWNERNAM �, _ l,, / � � � � PHONE � n j � a� E-MAIL STREET ADDRESS CITY, STATE, ZIP f� q5-exFAX C%URACTOR NAME tS ai C f do CFc�J� 3 •�C LICE ;NSE NUMBER CP el v4/ 0 0 LICENSE TYPE Ca --'3 BUS. LIC. # COMPANY NAME E -MA � FAX ST, EE ADDRESS, Y- rr2 � cr�i die CITY, STATE, ZIP v �. �c' �� C,/w 5f i PHONE `l `'ii -3 2 IJ I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re -roof project shall comply with all applicable provisions of the 2016 California Codes. 2. An inspection request can be scheduled up -to. one business day before. the requested inspection date. Please schedule inspections online or call (408) 777-3228 from 7:30-3:30pm (Mon-Thurs) or 7:30- 2:30pm (Friday) to schedule inspection. For Tear -Off and Nailing Inspections, you must also call on the day of the inspection only after that phase of the work is completed. The building inspector will be available within one hour. The hours for this service are: 7:3040:30am and 12:30-3:30 (Mon-Thurs) and 7:30-10:30am and 12:30-2:30 (Friday). Final Inspections will be given a two hour window. 3. Tear -Off Inspection is required. Any and all dry -rotted wood shall be replaced prior to this inspection. Unless new plywood roof sheathing is proposed.throughout, all the nails/fasteners shall be either completely knocked -down or removed prior to this inspection. 4. If plywood is installed, a plywood Nailing Inspection is required. 5. Roofing shall not be applied without first obtaining all prior inspection and written approvals from the building inspector. Any roofing which is applied without first obtaining an approved inspection will require the removal of all new material down to the sheathing so a proper inspection can be performed. 6. A Final Inspection and approval shall be obtained from the building inspector when the re -roofing is completed. To receive a final sign -off, the following items will be verified: a. Flat roofs shall have a minimum of I/" per foot of slope and demonstrate there is no ponding. b. Listings from approved testing agencies for all pre -manufactured products used shall be available on-site to review at the time of the inspection. c. Proper spark arrestor installation, vents painted, gutter/downspouts installed, debris removed. 7. NOTE: If you call for a tear -off or plywood nailing inspection and the work is not complete, you will be charged a re -inspection fee. The re -inspection fee shall be paid before another inspection can be scheduled. By my signing below, I certify each of the following is true: I am the property owner or authorized agent to act on the property owner's behalf. I understand and agree to comply with the re -roof policy stated above. I also understand that smoke detectors and carbon monoxide etecto , are required to be installed in accordance with Sections 8314 and 8315 of the 2016 California Residential Signature of Applicant/Agent: Date: 4.doe revised 12115/16